Conventional full dentures are used to replace a full set of teeth either on the upper or lower jaw. When all of the patient’s natural teeth have been removed and the gum tissues have healed, conventional full dentures may be placed in the mouth. In between, the patient may be fitted with an immediate denture that can be inserted on the same day the teeth are extracted. Using immediate full dentures is beneficial for the patient because this means that he does not have to go without teeth for a certain period. Readjustment of the dentures will have to be made after several months because the supporting bone will reshape as it heals and this will cause the denture to loosen.
Retention is the principle that describes how well the denture is prevented from moving vertically in the opposite direction of insertion. The better the topographical mimicry of the intaglio (interior) surface of the denture base to the surface of the underlying mucosa, the better the retention will be (in removable partial dentures, the clasps are a major provider of retention), as surface tension, suction and friction will aid in keeping the denture base from breaking intimate contact with the mucosal surface. It is important to note that the most critical element in the retentive design of a maxillary complete denture is a complete and total border seal (complete peripheral seal) in order to achieve 'suction'. The border seal is composed of the edges of the anterior and lateral aspects and the posterior palatal seal. The posterior palatal seal design is accomplished by covering the entire hard palate and extending not beyond the soft palate and ending 1–2 mm from the vibrating line.
My lower dentures broke in half. What is the cost to repair my dentures?Answer: Dental procedures and costs vary widely based on many factors such as difficulty and the condition of your dentures as well as your bone and gums. The best way to determine fees for service is to visit with your dentist or prosthodontist and discuss the care you may need. The best solution is to return to the dentist or prosthodontist who made your dentures and have the broken denture repaired professionally. It may seem easy to fix, but it is important that the repair is done correctly to prevent problems with chewing and to avoid any sore spots. The doctor also needs to check the denture and adjust it after it’s repaired. There is also a chance that the denture is too old and no longer fit closely to your gums, and you may need a new one. To find a dentist who is a specialist who has extra training in making dentures, visit www.gotoapro.org.Response provided by the American College of Prosthodontists. Back to top
If you’ve had a metal RPD, you know how cumbersome and heavy they can be. Dentists often see them damage remaining teeth and injure the inside of the mouth. Ultaire™ AKP partial dentures are 60% lighter than metal frames! The polymer was formulated to be lightweight as well as strong, similar to polymers used in hip implants. This creates partial dentures that are comfortable, durable and biocompatible, meaning they are safe to have in your body. Unlike metal, Ultaire™ AKP is non-toxic, non-irritating and nickel-free.
If you’ve had a metal RPD, you know how cumbersome and heavy they can be. Dentists often see them damage remaining teeth and injure the inside of the mouth. Ultaire™ AKP partial dentures are 60% lighter than metal frames! The polymer was formulated to be lightweight as well as strong, similar to polymers used in hip implants. This creates partial dentures that are comfortable, durable and biocompatible, meaning they are safe to have in your body. Unlike metal, Ultaire™ AKP is non-toxic, non-irritating and nickel-free.
At first, wearing dentures may require some getting used to in terms of talking and eating, as the dentures become “balanced” in the space formerly occupied by the teeth. But over time, the muscles, nerves and ligaments of the mouth learn to work in new ways, which allows these functions to occur normally. Dentures also help support the facial skeleton and the soft tissues of the lips and cheeks, which can help create a more youthful appearance.
No consensus has been reached regarding the best occlusal scheme for making complete dentures. Thus, the purpose of this systematic review was to compare bilateral balanced occlusion (BBO) with other occlusal schemes (canine guidance, lingualised occlusion and zero degree) in complete dentures. The schemes were compared in terms of quality of life/satisfaction and masticatory performance. Two independent reviewers performed a comprehensive search of studies published in or before October 2017 using the PubMed/MEDLINE, Scopus and Cochrane Library databases. The search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The focused question was: "In conventional complete denture, is BBO better than lingualised occlusion, canine guidance and zero degree in terms of quality of life, patient satisfaction and masticatory performance/muscle activity?" Seventeen studies were selected for analysis. In total, there were 492 patients with a mean age of 64.78 years and a mean follow-up duration of 2.96 months (range: 1-6 months). All studies compared BBO with the other occlusal schemes. Eleven studies evaluated the influence of the occlusal scheme designs on quality of life and satisfaction, and 8 studies evaluated masticatory performance and muscle activity between BBO and the other occlusion schemes. The present systematic review indicated that BBO does not confer better quality of life/satisfaction or masticatory performance and muscle activity. Thus, lingualised occlusion can be considered a predictable occlusal scheme for complete dentures in terms of quality of life/satisfaction and masticatory performance, while canine guidance can be used to reduce muscular activity.
After receiving dentures, the patient should brush them often with soap, water and a soft nylon tooth brush which has a small head, as this will enable the brush to reach into all the areas of the denture surface. The bristles need to be soft in order for them to easily conform to the contours of the dentures for adequate cleaning, whereas stiff bristles will not be able to conform very well and are likely to cause abrasion of the denture acrylic resin. If a patient finds it difficult to utilise a toothbrush e.g. patients with arthritis, a brush with easy grip modifications can be used.[32]
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position. A precision partial denture is removable and has internal attachments rather than clasps that attach to the adjacent crowns. This is a more natural-looking appliance.
A common situation is that insurance benefits include payment for half of the cost of a partial payment after the policy’s deductible is paid (if it has one). The best way to find out what your insurance will cover is to contact your insurance provider directly. Most discount dental plans give huge discounts for partial dentures, so it’s worth taking a closer look.
The safe, healthy choice is to not sleep with your partial denture in place. Sleeping with partial dentures is not recommended for a number of reasons. Partial dentures are designed to be cleaned outside the mouth – which also provides the opportunity to ensure no food particles are lodged under or around the partial. Proper oral care and keeping you partial denture clean is vital for the overall health of your gums. From a physical standpoint, your gums will benefit from the opportunity to rest and recover. Also, some patients may clench their teeth in their sleep. This pressure can cause damage to both natural teeth as well as dentures.
An overdenture is a removable dental prosthesis that covers and rests on one or more remaining tooth roots. A removable partial denture is a dental prosthesis that replaces some teeth and is built around existing natural teeth. Both the overdenture and the removable partial denture may be connected to the remaining tooth roots or remaining natural teeth with anchors made of metal or plastic. These connections improve stability and the retention of both prostheses.
